The Medicare Payment Advisory Commission (MedPAC) recently recommended Congress pass legislation to merge hospital quality initiatives into one program, the Hospital Value Incentive Program (HVIP), which would tie Medicare payments to the quality of hospitals’ care. MedPAC argued this consolidation would eliminate existing confusion and overlapping requirements.
MedPAC recommended rewarding hospitals using the same quality metrics: mortality, spending, patient experience, hospital-acquired conditions and readmissions, with each hospital receiving a score between 0 and 10 for each measure, and its total score based on the average of all five scores. MedPAC also indicated the HVIP would account for patients’ social risk factors, and would grant hospitals serving more dual-eligible Medicare and Medicaid patients a larger percentage increase in payments.
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